ATI Pharmacology Proctored Assessment

A patient newly diagnosed with hy- pothyroidism is prescribed Levothyrox- ine (Synthroid) 0.25 mg PO daily. After 6 weeks of treatment the nurse determines that the medication was effective if the: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) Total t4 level is 2 mcg/dL A nurse providing teaching to a client who has just been prescribed prazosin (Minipress) which of the following client statement indicates understanding of teaching: 1) I will not use a salt substitute while taking meds 2) I will move slowly from sitting to stand- ing to prevent falls A nurse is providing teaching to a patient who is prescribed phenytoin (Dilantin). Which statement by the patient indicates further teaching: 1) I should expect a rash to develop 2) I may develop hair or face or chest A nurse is receiving a telephone pre- scription for an antibiotic from a client's provider. Which of the following is the nurse required to do: 3) Read the prescription back to the provider after transcribing 4) Write the trade name for the pre- scribed medicine A nurse is providing teaching to an ado- lescent and her family regarding a new prescription of phenytoin (Dilantin) for a newly diagnosed seizure disorder.Which of the following client statements indi- cates the understanding of the teaching: 1) Thyroid stimulating hormone (TSH) level is 2 microunits/mL 2) I will move slowly from sitting to stand- ing to prevent falls 1) I should expect a rash to develop 3) Read the prescription back to the provider after transcribing 1) I will keep a seizure frequency chart ATI Pharmacology Proctored Assessment 2 / 28 1) I will keep a seizure frequency chart 2) I will skip a dose if I am experiencing nausea A nurse is caring for a client who has heart failure and is receiving furosemide (Lasix) and digoxin (Lanoxin). Routine laboratory results reveal a potassium lev- el of 2.6 mEq/L. Which of the following actions should the nurse take first: 1) Apply a cardiac monitor 2) Provides foods high in potassium A nurse administers ceftazidime (Fortaz) to a client who has a severe penicillin allergy.Which of the following client find- ings requires an incident report: 1) The client is also taking linsinophrel (Prinivil) 2) The client reports shortness of breath A nurse is providing teaching to a fe- male client who has been newly diag- nosed with a seizure disorder and has begun phenytoin (Dilantin). The nurse should tell the client that phenytoin can decrease the effectiveness of which of the following: 1) Ethunyl estradiol/desogestrel (Cy- clessa) 2) Fluroxetine (Prozac) A nurse providing teaching to a client who is diagnosed with migrane headaches. The client is prescribed ergotamine (Ergostat) sublingual (SL). Which of the following should the nurse include in her instructions: 1) Take 1SL tablet three times a day be- fore meals 2) Take 1SL tablet at onset of migrane 1) Apply a cardiac monitor 2) The client reports shortness of breath 1) Ethunyl estradiol/desogestrel (Cy- clessa) 2) Take 1SL tablet at onset of migrane ATI Pharmacology Proctored Assessment 3 / 28 A nurse is reviewing a client's daily laboratory findings before administer- ing 0.125 mg of digoxin (Lanoxin). The client's serum digoxin level is 0.7 mg/mL. Which of the following actions should the nurse take: 1) Give the medication 2) Request a dose increase A nurse is planning to provide medica- tion education for a client who will begin a course of therapy with metronidazole (Flagyl). Which of the following should the nurse instruct the client to avoid dur- ing the course of therapy: 3) Coffee 4) Beer A nurse is teaching a client who has heart failure about a new prescription for captopril (Capoten). Which of the follow- ing statements by the client indicates a need for further teaching: 3) I will take the medication 1 hr before my meals 4) I will use a salt substitute with my meals A client is experiencing acute angle clo- sure glaucoma and IV mannitol (Os- mitrol) 25% is prescribed. Which of the following client findings should the nurse recognize as being the best indication that the medication is achieving it's ther- apeutic effect: 3) Decrease in intraocular pressure 4) Lung fluids clear to auscultation A nurse is educating a client who has a new prescription for simvastatin (Za- cor). Which of the following instructions should the nurse include in the teaching 1) Give the medication 4) Beer 4) I will use a salt substitute with my meals 3) Decrease in intraocular pressure ATI Pharmacology Proctored Assessment 4 / 28 plan: (Select all that apply): 1) Report muscle pain to provider 2) Do not take the medication with grape- fruit juice 3) Take the medication in the early morn- ing 4) Minimize intake of alcoholic bever- ages 5) Expect therapy with this medication to be life long A client taking IV heparin and oral war- farin (coumadin) for deep thrombosis. The client aPTT is 4x the normal value and his INR is 2. Which of the following actions should the nurse plan to take: 1) Decrease the heparin 2) Increase the warfarin The nurse is caring for a client who is in labor. The client is receiving oxytocin (pitocin) by continuous IV infusion, piggy backed into a maintenance IV solution. The external FHR monitor indicates late decelerations.Which of the following ac- tions should the nurse take first: 1) Turn the client to side lying position 2) Discontinue the client's IV meds A nurse is providing teaching to a client taking bupropion (Zyban) as an aid to quit smoking. For which of the following side effects should the nurse assess the client: 3) Insomnia 4) Tinnitus A nurse is teaching a client about the use of risedronate (Actonel) to treat os- teoporosis. Which of the following client statements indicates a need for further teaching: 1) Report muscle pain to provider 2) Do not take the medication with grape- fruit juice 4) Minimize intake of alcoholic beverages 5) Expect therapy with this medication to be life long 1) Decrease the heparin 2) Discontinue the client's IV meds 3) Insomnia 4) I need to take the risedronate with food ATI Pharmacology Proctored Assessment